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Inspection on 18/03/09 for The Clough Residential Home

Also see our care home review for The Clough Residential Home for more information

This inspection was carried out on 18th March 2009.

CSCI found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Full information about the services and facilities provided by the home are on display in the foyer and copies are available on request. Care files are detailed and provide staff with full information regarding the needs and preferences of each service user. The home is decorated and furnished to a good standard and efforts have been made to ensure that the environment is warm and homely. Staff are well trained and spoke highly of the manager, the staff and the care afforded to them. The home is well managed and all health and safety issues are addressed to ensure a safe environment for service users, visitors and staff.

What has improved since the last inspection?

Care plans have been reviewed and now contain more detailed information regarding the needs and preferences of the service users to enable staff to provide the individual level of care and support necessary. Care files are now reviewed and updated on a monthly basis and more frequently if the needs of the service users change. A high number of staff training events have been provided and evidence of this training is held on the staff files. One of the housekeeping staff has increased her ours to provide dedicated time for attending to the laundry.

What the care home could do better:

Additional storage space should be provided for medications. Attention is required to the walls in the laundry and the corridor outside the laundry where paint is flaking.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Clough Residential Home Chorley New Road Bolton Lancashire BL1 5BB     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jeanette Fielding     Date: 1 8 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: The Clough Residential Home Chorley New Road Bolton Lancashire BL1 5BB 01204492462 01204495314 clough@arc-homes.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Aegis Residential Care Homes Ltd care home 32 Number of places (if applicable): Under 65 Over 65 32 old age, not falling within any other category Additional conditions: 0 The home is registered for a maximum of 32 service users, to include: up to 32 service users in the category of OP (Older People) The service should employ a suitably qualified and experienced manager, who is registered with the Commision for Social Care Inspection. Date of last inspection Brief description of the care home The Clough is a detached converted property situated in a quiet residential area of Bolton, off Chorley New Road. The house is set in its own very large beautifully kept gardens and there is ample parking. There is easy access to Bolton town centre and the surrounding motorway network. Whilst the main door is accessed via a number of steps, the door at the side of the home allows a level access for wheelchair users and people who have problems climbing steps. With the exception of 2 shared rooms, accommodation is in single bedrooms, which are on the ground and first floor levels. A large lounge overlooks the garden at the front of the house plus a large dining room. Attached to this is a conservatory. There is also a smaller lounge area that is known as the library. Most of the toilets and bathrooms have aids to assist any resident with a disability or mobility problem. Care Homes for Older People Page 4 of 27 Brief description of the care home Weekly fees are from 345.04 - 475.00 pounds per week. The higher charges are made to people who pay for themselves if they want a larger en-suite bedroom. Additional charges are made for private chiropody, newspapers/magazines, dry cleaning, day trips and hairdressing. The provider makes information about the service available in the form of a Service User Guide and Statement of Purpose, which displayed in the foyer and are given to new residents. A copy of the latest inspection report is displayed in the entrance hall so the residents and visitors to the home may read it. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection took place on 18th March 2009 and a total of seven hours were spent in the home. As part of the inspection process, records relating to the care of the service users were viewed to evaluate the level of care required by and afforded to them. Staff files were viewed to ensure that all safety checks had been made on them prior to them commencing at the home and to evaulate the training that they had undertaken. Safety certificates were viewed to ensure that all equipment and facilites within the home assured the health, safety and welfare of the staff and service users. A full tour of the building was undertaken, including some of the service users bedrooms to assess the environment in which service users live. Care Homes for Older People Page 6 of 27 Discussions were held with staff to obtain their views of the home and to evaluate their knowledge and understanding of service users needs, the policies and procedures and their individual role and responsibilities. Service users were spoken to to obtain their views and opinions of the home and to gather information regarding their individual lifestyles within the home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Detailed information about the home is readily available to enable prospective service users to make an informed decision regarding their care provider. Evidence: A comprehensive Service User Guide has been prepared which provides full information regarding the facilities and services offered by the home. The Service User Guide is issued to all prospective service users and/or their relatives at the time of the initial enquiry. It is also displayed in the home and is fully accessible to all. Pre-admission assessments are undertaken in the prospective service users own home or in hospital as appropriate. The service users files inspected showed that detailed information is gathered regarding the service users health, care and social needs. Any equipment necessary to meet the service users needs is identified to give the opportunity for the home to obtain this in preparation for admission. All staff are Care Homes for Older People Page 10 of 27 Evidence: advised of new admissions to the home and are given information about the service users needs. Sufficient information is gathered at the pre-admission assessment to enable a plan of care to be prepared. Visits to the home by the prospective service user and their family are encouraged. This gives them the opportunity to choose from any vacant rooms and to decide how they wished their room to be laid out. One recently admitted service user delayed their admission by a few days so that the room could be decorated in a colour of her choosing. Visits to the home also provide the opportunity for the service user to meet with staff and other service users and to be shown around the home. One relative spoken to confirmed that she had visited the home prior to the service users admission and was impressed with the findings of that visit. She confirmed that she had continued to be impressed by the care that was given. The home does not offer intermediate care. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans have improved to provide additional information to ensure that staff have full information regarding service users needs and preferences. Evidence: Detailed care plans are prepared for each service user. A selection of care files were inspected which included new service users and some who had been at the home for a number of years. The manager explained that work had taken place since the last inspection to improve the care planning process and to include additional information in the plans. The care plans provide sufficient information regarding the needs of the service users and included information on the care that is to be given by the staff team. Information is recorded regarding personal hygeine, mobility, moving and handling, skin care, nutrition and individual preferences. Risk assessments have been prepared together with risk management plans to reduce or remove any identified risks such as falls, weight loss or pressure sores. The manager is currently on a working party within the company to devise a new format for care files. The home currently uses the Standex system for recording information. Discussion took place Care Homes for Older People Page 12 of 27 Evidence: with the manager regarding the different ways in which care plans can be laid out and the information to be recorded whilst maintaining security for confidential information. The care plan for one service user who had been admitted only two days before the inspection showed that an initial plan of care was in place and that information had been added as the needs of the service user had been further identified. Pressure relieving aids are in use where this is identified as necessary and the advice of the Primary Care Services is sought when pressure damage is identified as a risk. A detailed record is held of each time a service user is turned in bed to prevent the development of pressure sores. Details are recorded of visits made to and by GPs and other healthcare professionals and care plans are changed in accordance with the recommendations of these professionals. Most service users have recently had a health screening by their GP. Care plans are reviewed and updated each month and whenever the needs of the service users change. Individual preferences are recorded i.e. time of going to bed and rising, food likes and dislikes and social activities to give greater information to the staff to assist with providing the level of support that each service user wishes. Daily records are completed by the staff and provide evidence of the actual care afforded. Observation of the interaction between staff and service users showed that the staff were fully aware of each individual service users needs and preferences. Staff were respectful to service users and spoke discreetly when referring to personal issues. The home has a policy and procedure for the administration of medications and this is accessible to all care staff for advice and information. Medication Administration Record (MAR) sheets are signed by the staff at the time that medications are administered and all were found to be up to date. Staff must ensure that two people sign the MAR sheets when hand written entries are made to ensure that accurate information is recorded. None of the service users currently accommodated administer their own medications although the home has devised a risk assessment that would be undertaken if a service user wished to hold and administer their own medications. Additional space needs to be provided for the storage of medications and the manager said that she will identify this as soon as possible. Training has been given to senior staff on medications. Certificates to provide evidence of this is held on the individual staff files. All bedrooms, with the exception of two, are for single occupancy. The double rooms are usually used for single occupancy unless a special request to share a room is made. Staff were observed to knock on bedroom doors and to wait for an answer prior Care Homes for Older People Page 13 of 27 Evidence: to entering and service users confirmed that their privacy and dignity were respected by the staff at all times. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A varied programme of activities is provided to give entertainment and social stimulation to the service users. Evidence: A programme of planned activities is displayed in the home to give service users full information about forthcoming events. Activities include armchair exercises, keep fit, reminiscence, bingo and card games. Service users also enjoy crafts and film shows on a large screen. Entertainers also visit the home on a regular basis and service users said they enjoy the magician and the musical instruments. Some service users are taken to local pubs for lunch or on shopping trips to promote independence and choice. One service user said that she enjoyed the activities but that if she chose not to participate, staff would respect her wishes. A monthly newsletter is produced and is displayed in the home. Staff were observed to spend time with service users on a one to one basis and a comment from a member of staff, in the survey forms sent by CSCI, said that the member of staff would like to spend more time on a one to one basis as the service users enjoyed this. Some service users are taken to Church by their friends or family and services are held Care Homes for Older People Page 15 of 27 Evidence: in the home for those who wish to participate. Local ministers visit the home and provide services and communion on request. The care files include information regarding the service users previous social activities and the programme of stimulation can be varied to ensure that all service users preferences can be incorporated. A record of the activities that service users participate in is held. Meals can be taken in the dining room, the lounge or the service users own bedroom as they wish. All service users are encourated to take their main meals in the dining room to promote social interaction. The large dining room is extremely pleasant and tables are attractively laid with table cloths, cloth napkins, place mats and table centres. A selection of condiments are provided in addition to cruets. Each table is provided with the menu for the day and the weekly menu is displayed on the notice board. The meal served on the day of the inspection looked and smelled appetising and service users spoken to said that the meals were delicious. Service users who require assistance with their meals are served after the other service users have finished to allow for meals to be taken in a quiet and unhurried way. Staff were observed to sit with service users who require assistance with meals and to provide the assistance in a dignified manner. The main meal of the day is served at lunchtime and service users choose their meal on the previous day. The evening meal is chosen during the day on which it is served and a choice of meals is available. Special diets can be provided on the advice of the GP or dietitian or according the service users preferences. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a robust complaints procedure to ensure that service users are protected. Evidence: The home has produced a robust complaints procedure which is detailed in the Service User Guide and is also displayed on the notice board in the home. Only one complaint has been received by the home in the last twelve months and this was dealt with in line with the homes policy. Details were recorded regarding the findings of the investigation and appropriate action had been taken to address the issue. No complaints had been received by CSCI in the last twelve months. All staff have been given training on the protection of vulnerable adults and evidence of this is held in the staff files. Staff spoken to confirmed that they had undertaken the training and were aware of the procedure to be followed in the event of abuse being suspected. One service user said that she had no complaints about the home or the care provided but would feel comfortable speaking to the manager if there were any issues she wished to raise. A suggestion box has been placed near to the door to give service users and visitors the opportunity to comment about the home in confidence. No comments cards were in the box at the time of the inspection. Care Homes for Older People Page 17 of 27 Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is decorated and furnished to a good standard to provide service users with a comfortable and homely environment in which to live. Evidence: The Clough is a large property situated between Bolton and Horwich in a quiet road off a major highway. In the entrance to the home, a suggestion box has been provided for visitors and service users. A copy of the statement of purpose and the last inspection report are displayed together with information regarding the senior person in charge of the shift. The home provides accommodation in single bedrooms. Two rooms are available for shared occupancy on request. Communal rooms include a large lounge, a smaller library lounge and dining room and a conservatory. The large lounge is used by the majority of service users. The library lounge has a large number of books to provide for all tastes. The conservatory overlooks the extensive garden which has flower beds and lawns. A patio area with seating is provided outside the conservatory and is accessible to all service users. The lounges provide televisions, radios, DVD players and a clock calendar. All rooms are decorated and furnished to a high standard and provide pleasant areas for service users to spend their day. Care Homes for Older People Page 19 of 27 Evidence: Bedrooms are decorated and furnished to a good standard and service users are encouraged to personalise their bedrooms with pictures, photographs and items of memorabillia. It was evident from observation that service users, relatives and staff have actively strived to provide a warm and homely environment. Staff spoken to confirmed that the layout of bedrooms can be changed to suit the needs and preferences of the service users subject to risk assessment. An ongoing programme of redecoration continues and all areas of the home were clean, fresh and bright. Since the last inspection, a number of bedrooms have been redecorated and one of the communal bathrooms has been redecorated and refurbished. Plans are in place to upgrade the bathrooms and the main kitchen in the longer term in line with the homes development and improvement plan. Some attention is required to the walls in the laundry which are flaking. The wall in the corridor outside the laundry is also flaking. Discussion was held with one of the senior managers who also visited on the day of the inspection regarding this and he confirmed that this would be attended to as soon as possible. Maintenance issues are addressed as soon as possible. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home employs a team of well trained, enthusiastic staff who work positively with the service users to improve their quality of life. Evidence: The home employs senior care assistants and care assistants to provide for the care of the service users. One senior and three care staff are on duty at all times of day with one senior and one carer at night. The manager works on a supernumerary basis and is available to assist with care whenever necessary. The senior staff provide an on call system at night to provide additional support, and are available to go to the home at short notice whenever necessary. The home has a robust recruitment procedure. All prospective staff are required to complete an application form prior to being called for interview. Two references are taken and checks are made through the Criminal Records and Protection of Vulnerable Adults registers to ensure that service users will be protected. Evidence of qualifications and previous training is required to be produced. Staff files inspected showed that all checks had been made on staff. All new staff are required to complete an intensive induction programme and training continues throughout their employment. A high number of training is given to all staff Care Homes for Older People Page 21 of 27 Evidence: to increase their knowledge and understanding of the needs of the service users. 84 of the care staff hold NVQ qualifications, two are working towards this and arrangements are in place for one new member of staff to commence this training. Recent training events include customer care, fire prevention, medications, moving and handling, dementia care, infection control, palliative care and the protection of vulnerable adults. Updates in first aid and equality and diversity have been planned. A training matrix has been prepared and identifies training undertaken and the dates by which updates are required. The manager said that this has been useful in identifying training needs and allows for forward planning. The staff files now include evidence of training and certificates which have been issued by trainers. On the day of the inspection, a number of staff were in the home for training. Staff spoken to confirmed that this was their day off but they were happy to attend for the training and enjoyed the courses that were provided. Staff confirmed that they enjoyed caring for the service users and that everyone did their best to provide a caring and homely place for them. In the surveys completed by staff, and returned to CSCI prior to the inspection, staff confirmed that all checks were made prior to them commencing work at the home, that supervision was given regularly and that staff meetings were held on a regular basis. One member of staff said that she enjoyed the staff meetings as it gave an opportunity to put forward suggestions and to hear the views of others. The next staff meeting has been arranged for 31st March 2009. Discussion with the staff also confirmed that they were aware of the needs and preferences of the service users. At the last inspection, it was identified that the home did not employ a launderess and laundry duties were carried out by all staff. Since that inspection, one of the housekeepers has increased her hours to provide laundry duties. The manager stated that this system had worked well and that all laundry was carefully attended to. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager is well supported by staff and senior management to ensure that service users are protected and provided with a quality lifestyle within a safe environment. Evidence: The registered manager has been in post for 10 years and is extremely qualified and experienced in managing care of older people. She has continued to develop her understanding and knowledge through continued training and is currently on a working party to develop a care plan model which can be used in care homes throughout the company. She holds the Registered Managers Award. Evidence of recent and planned training is held in the home. Staff spoke highly of the manager and said that she was approachable and supportive and could be asked about anything without worrying that you will be seen as stupid. All staff spoken to confirmed that they could approach the manager at any time and said that she was never to busy to see the service users or the staff. One member of Care Homes for Older People Page 23 of 27 Evidence: staff said when she comes in at night or at the weekend, we dont feel as though she is checking up on us, she just likes to see how things are and asks us if there is anything we need. One of the senior managers of the company visits the home at least once each month, as required, and completes a report on the home. The manager said that she is well supported by the senior managment team and liaises with them on all aspects of the home. The home holds the Investors in People award and also has their internal quality monitoring system to seek the views and opinions of service users, relatives and other stakeholders. The manager also seeks the views of service users on a one to one basis and at service users meetings. Regular health and safety audits are undertaken together with audits of the homes annual development and business plan. Small amounts of money are held in the home at the request of service users or their family and comprehensive records are held of transactions made on service users behalf. The premises and equipment within the home are regularly inspected by appropriate persons/companies and certificates are held in the home. The electrical wiring within the home is now due to be reinspected and the manager confirmed that arrangements are in place for this to be addressed within the next few weeks. Arrangements are also in place for tests on portable appliances to be undertaken. All other certificates were in place and up to date. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!